Individual
MISS JENNIFER NOHEMY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 S UNIVERSITY DR STE G, DAVIE, FL 33328-4506
(754) 216-1986
Mailing address
5001 S UNIVERSITY DR STE G, DAVIE, FL 33328-4506
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
97311
CA
106H00000X
Marriage & Family Therapist
Primary
MT3823
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109200700
—
FL
Enumeration date
06/09/2011
Last updated
02/03/2025
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